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NYLAG Comments on Proposed Federal "Sunset" Rule That Would Repeal Thousands of Medicaid Regulations Download
NYLAG Comments - Sunset NPRM (12-4-20 VB).pdf
The US Dept. of Health & Human Services (HHS) has proposed a "sunset regulation" that would retroactively impose a mandatory expiration date on an estimated 18,000 duly promulgated regulations for programs ranging from Medicaid and Medicare to the FDA and CDC. NYLAG submitted comments on these rules.
04 Dec, 2020 329 kb Downloads: 1451
Pre-Paying for Burial – Tip for Qualifying for Medicaid despite “Excess Resources” Download
Funeral Agreement Fact Sheet revised 2020-10-28.pdf
This advocacy memo from NYLAG explains the rules regarding treatment of pre-paid funeral agreements for burial arrangements for Medicaid eligibility for people age 65+, blind, or disabled.
28 Oct, 2020 1000 kb Downloads: 173204
Training Presentation on 2021 Medicare Part D Annual Enrollment Download
NYLAG CLE PPT Part D 2021 AEP -REVISED.pdf
NYLAG PowerPoint presentation explaining the Medicare Part D program, with changes for the 2021 calendar year. The annual enrollment period for 2021 began Oct. 15, 20 and goes thru Dec. 7, 2020.
19 Oct, 2020 594 kb Downloads: 2184
Benchmark Part D plans in NYS 2021 - Free Premiums for People with Extra Help/ Low Income Subsidy Download
Benchmark Plans 2020-2021 Comparison.2.pdf
Benchmark Part D plans in NYS 2021 - Free Premiums for People with Extra Help/ Low Income Subsidy - Seven plans will be free for those with full Extra Help. Two plans that were benchmark in 2020 are closing in 2021. This fact sheet explains how members of those plans can ensure full access to covered prescriptions in 2021.
05 Oct, 2020 215 kb Downloads: 2187
NYLAG Comments on Proposed Changes to State Regulations for Medicaid Managed Care Appeals and Fair Hearings Download
Final Comments to Proposed Regulations Managed Care Fair Hearing 09.8.2020.pdf
NYLAG Comments filed on Sept. 8, 2020 on Proposed Changes to State Regulations for Medicaid Managed Care Appeals and Fair Hearings. The proposed amendments implement the "exhaustion" requirements implemented in NYS in 2018, implementing federal changes adopted in 2016.
23 Sep, 2020 511 kb Downloads: 1923
NYLAG COMMENTS on Proposed Home Care Changes - Eligibility and Assessment Procedures Download
NYLAG COMMENTS -PCS CDPAP 2020-09-09 FINAL.pdf
NYLAG COMMENTS on Proposed Regulations implementing the Medicaid Home Care Changes - Eligibility and Assessment Procedures enacted in the 2020-21 NYS Budget. The proposed regulations are posted here - https://regs.health.ny.gov/sites/default/files/proposed-regulations/Personal%20Care%20Services%20and%20Consumer%20Directed%20Personal%20Assistance%20Program.pdf
09 Sep, 2020 1.07 mb Downloads: 2120
NYLAG Comments on Proposed Changes in 1115 Waiver Governing MLTC to Impose "LOOKBACK" for Communiity Based Long Term Care Download
NYLAG comments 1115 Waiver Lookback 9-9-20 FINAL.pdf
NYLAG Comments on Proposed Changes in 1115 Waiver Governing MLTC to Impose "LOOKBACK" for Communiity Based Long Term Care. The waiver document is posted here https://health.ny.gov/health_care/medicaid/redesign/mrt2/proposals/mltc_elig_vol_enroll_duals.htm
09 Sep, 2020 652 kb Downloads: 2239
PowerPoint on NYS Medicaid Changes Coming in 2020-21 - Lookback, Restricted Home Care Eligibility & New Assessment Procedures Download
NYLAG Presentation - NYS Budget Changes - Medicaid FY 2020-21.pdf
Webinar presentation by Valerie Bogart, EFLRP, NYLAG, presented on Sept. 9, 2020 on upcoming changes in Medicaid - a new lookback for community based long term care services, new ADL requirements on eligibiliity for personal care and CDPAP, and new assessments for all home care in MLTC, managed care and local Medicaid offices
09 Sep, 2020 534 kb Downloads: 3904
Letters Asking Governor & State DOH to Halt Disenrollment from MLTC Plans for Nursing Home members until Pandemic Over Download
2020-07-02 Consumer LT GOV NH Disenrollment FINAL.pdf
Letter of 7/2/20 to Gov. Cuomo and letter dated June 29, 2020 to DOH from NYLAG, Legal Aid Society, CIDNY, Empire Justice Center & other organizations demanding the state halt disenrollment of almost 20,000 MLTC members from their MLTC plans because they have been in nursing homes for more than 3 months. With visitors banned from nursing homes, they'll have no help to appeal - and many will be forced to stay in the nursing homes, at risk of exposure to COVID.
12 Jul, 2020 1.37 mb Downloads: 2265
Know Your Rights -- If an MLTC Plan Asks You to Reduce Your Hours Because of COVID-19 - You Can Say No Download
Voluntary Plan of Care change Fact Sheet (FINAL NYLAG 5-18-20).pdf
Fact Sheet for consumers that explains rights of MLTC members in light of a State directive to plans that allows members to "pause" their home care during Covid-19. The directive - at https://health.ny.gov/health_care/medicaid/covid19/docs/2020-04-23_guide_volplanofcare.pdf -- can be helpful for consumers who want to reduce their hours during this emergency, but if you do not want to change your hours, you can keep them as is.
18 May, 2020 366 kb Downloads: 2955
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